The nurse in the pulmonary clinic is caring for a 59-year-old male client.
1000:Has chronic obstructive pulmonary disease (COPD) with a long-standing barrel chest. The nurse completes a respiratory assessment at 1000 after the client reports feeling more short of breath.
Click to highlight the findings below that require immediate follow-up.
| Assessment Area | Findings |
|---|---|
| Color | Lips and tongue are newly blue. |
| Chest | Barrel chest is unchanged from prior visits. |
| Oxygenation | Pulse oximetry reading is 84% on room air. |
| Breathing | Respiratory rate is 34/min (reference range 12–20/min). |
| Communication | States the name and location correctly. |